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• W4385797701 startingPage "e19122" @default.
• W4385797701 abstract "Since 2001, in Portugal, constant reforms in hospital management have accompanied the transformations in the management models applied to public administration, intending to ensure a higher quality of services and, simultaneously, a more significant economic efficiency. This study aims to analyse, for the period between 2012 and 2021, the economic and financial results (value-for-money) of the PPP model, compared with the public management hospitals (PMH). It used a mixed research approach based on multiple case studies and archival research. As the main results, it was found that: i) the PPP model, applied to the health sector, appears to be advantageous, not only regarding the economic and financial results but also concerning the quality of service provision; and ii) despite the value-for-money generated by the PPP model, the lower operating costs and the superior performance in comparison with PMH, the government has permanently opted to revert from a PPP model to a PMH model. This study concluded that the hospital management model is instead seen as an instrumentalised political instrument than a management tool that could generate savings for the taxpayers. Several practical implications are presented." @default.
• W4385797701 created "2023-08-15" @default.
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• W4385797701 date "2023-08-01" @default.
• W4385797701 modified "2023-10-17" @default.
• W4385797701 title "Public-private partnership in the Portuguese health sector" @default.
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• W4385797701 doi "https://doi.org/10.1016/j.heliyon.2023.e19122" @default.
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